HESI RN 311 Pharmacology | Nurselytic

Questions 41

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HESI RN 311 Pharmacology Questions

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Question 1 of 5

A female client with osteoporosis has been taking a weekly dose of oral risedronate for several weeks. The client calls the clinic nurse to report increasing heartburn. How should the nurse respond?

Correct Answer: C

Rationale: Heartburn with risedronate suggests improper administration (e.g., not enough water, not staying upright). Asking how it’s taken (
C) identifies errors. Antacids (
A) interfere with absorption. Water (
B) is part of correct use but not diagnostic. Emergency care (
D) is premature.

Question 2 of 5

Which laboratory value should the nurse review prior to administering the initial dose of a statin medication?

Correct Answer: D

Rationale: Statins risk hepatotoxicity; reviewing baseline serum liver enzymes (
D) monitors for liver damage. CBC (
A), electrolytes (
B), and glucose (
C) are not primary concerns unless other conditions exist.

Question 3 of 5

A client who has been taking nonsteroidal anti-inflammatory drugs (NSAIDs) is experiencing gastric pain and blood in his stool. The healthcare provider discontinues the NSAIDs and prescribes esomeprazole. Which information should the nurse include in this client’s teaching plan?

Correct Answer: D

Rationale: Black stools (
D) indicate potential GI bleeding, a serious NSAID/esomeprazole risk, requiring immediate provider notification. Milk/cream (
A) may not help and could increase acid. Diarrhea/headache (
B) are less urgent. Resuming NSAIDs (
C) risks further bleeding without provider approval.

Question 4 of 5

A client with cystitis receives a prescription for phenazopyridine. Which information should the nurse explain to the client about its therapeutic effect?

Correct Answer: D

Rationale: Phenazopyridine provides analgesia for irritated bladder mucosa (
D), relieving pain/burning in cystitis. It is not an antibiotic (
A), not specifically post-intercourse (
B), and lacks antispasmodic effects (
C). It’s taken after meals to reduce GI upset.

Question 5 of 5

Based on a client’s serum digoxin level, the client is diagnosed with digoxin toxicity. Which action should the nurse expect to implement?

Correct Answer: C

Rationale: Digoxin toxicity risks hyperkalemia and arrhythmias. Checking acid-base and electrolyte values (
C) guides treatment (e.g., digoxin-specific Fab). Potassium (
A) may worsen hyperkalemia. Cardioversion (
B) is not primary. Changing routes (
D) is irrelevant; digoxin is stopped.

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